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Complaint Investigation

Timbers Of Jasper The

Inspection Date: January 30, 2026
Total Violations 1
Facility ID 155478
Location JASPER, IN
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Inspection Findings

F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

interview and record review, the facility failed to ensure medications were given as ordered and a discharged resident was sent home with the correct medication for 1 of 3 closed records reviewed. A blood thinner was not given as ordered, and a resident was sent home with another resident's medications at discharge. (Resident B)On 1/30/26 at 4:00 P.M., the Administrator provided an incident form that indicated

on 9/19/25 when Resident B was discharged from the facility, medications belonging to another resident had been sent home with them. The form indicated the facility attempted to contact Resident B's representative several times daily until 9/25/25 when contact was made and the medication was brought back to the facility the same day. On 1/29/26 at 11:32 A.M., Resident B's clinical record was reviewed.

Resident B was admitted to the facility on [DATE REDACTED] and discharged on 9/19/25. Diagnosis included, but was not limited to, fracture of the right lower leg. The most recent admission minimum data set (MDS) assessment, dated 9/11/25, indicated no cognitive impairment and no behaviors. Resident B required substantial to maximal assistance (helper does more than half the effort) with toileting, showering, and transfers. Physician orders included, but were not limited to: enoxaparin (a blood thinner) syringe; 30 mg (milligrams)/0.3 mL (milliliters); administer 30 mg/03 mL; subcutaneous, dated 9/5/25 and discontinued 9/19/25. Resident B's Medication Administration Record (MAR) indicated enoxaparin had not been given on

the following days: 9/14/25 unavailable 9/15/25 unavailable, awaiting delivery 9/16/25 unavailable 9/18/25 blank, no note A discharge progress note, dated 9/19/25, indicated Resident was discharged home with all medications, signed by Licensed Practical Nurse (LPN) 3. On 1/30/26 at 10:29 A.M., the Emergency Drug Kit (EDK) machine was observed with LPN 5. The EDK contained enoxaparin 30 mg/0.3 mL syringe. At that time, LPN 5 indicated the machine was kept stocked, and if staff noticed it was running low on something,

they would contact the pharmacy and they would be in either that day or the next day to restock it. LPN 5 also indicated when a resident was discharged with medications, two nurses would check that the medications sent home were correct and both would sign the discharge summary form. On 1/30/25 at 11:43 A.M., the Director of Nursing (DON) indicated LPN 3 was no longer on staff at the facility. At that time,

she provided the discharge summary form for Resident B. The form was signed on 9/19/25 by Resident B's representative and one nurse, LPN 3. On 1/30/26 at 1:30 P.M., the Administrator provided a current Medication Administration competency form, last revised 4/25, that indicated medications should be administered as ordered. This deficiency relates to Intake 2622137. 3.1-25(a)

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

TIMBERS OF JASPER THE in JASPER, IN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in JASPER, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from TIMBERS OF JASPER THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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